Panchanathan, Sarada Soumya
Panchanathan, Sarada Soumya is an sole proprietor health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Panchanathan, Sarada Soumya can be contacted via phone (602) 344-5404.Contact Information
Primary practice address
2601 E Roosevelt St
Phoenix AZ 85008-4973
Phone: (602) 344-5404
Fax: (602) 344-5859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25765 | Arizona |
Profile Details
| NPI number | 1245342609 |
|---|---|
| LBN Legal business name | Panchanathan, Sarada Soumya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 14th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245342609 | NPPES |
| Arizona | MEDICAID | 439762 |
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